ELLA ROSE NMN LEE RADT NPI 1568192953

NPI Information

NPI: 1568192953
Provider Name: ELLA ROSE NMN LEE, RADT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3594 4TH AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 296-1151
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Ella Rose Nmn Lee, RADT is an addiction (substance use disorder) counselor in San Diego, CA. Ella Rose Nmn Lee, RADT NPI is 1568192953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3594 4TH AVE
SAN DIEGO, CA
ZIP 92103-989
Phone: (619) 296-1151
Fax: (619) 296-6218

The enumeration date for this NPI number is 6/16/2022 and was last updated on 10/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		R1465840422	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1465840422	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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